2009-600
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20090600-36451Date Issued: Tuesday, March 17, 2015
This is to certify that work requested to be done as shown by Permit Number
P20090600-36451
has been completed.
302.8-1-16
Tax Map Number:
310 BAY RD
Location:
Cost Control Assoc (CCA Real Estate)
Owner:
Maple Tree Funding
Applicant:
This structure may be occupied as a: Certificate of Occupancy
Tenant: MAPLE TREE FUNDING
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Director of Building & Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090600 Application Number. A20090600
Tax Map No: 523400-302-008-0001-016-000-0000
Permission is hereby granted to: MAPLE TREE FUNDING
For property located at: 310 BAY Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: CCA REAL ESTATE, L.L.C.
Certificate of Occupancy(COM)
310 BAY Rd
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-600
c/o only-MAPLE TREE FUNDING
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,December 15, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at thrOWn of Qurby ry; f y,December 15,2009
6 v4 for the Town of Queensbury.
SIGNED BY -'�r' ` �� Qu urY
Director of Building&Code Enforcement
Community Development Office
Town of Queensbury • 742 Bail Road - Queensbury, New York -12804 , =._ 0
z �' �� � � S
Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes
Craig Brown, Zoning Administrator-Michael J. Palmer, Fire Marshal '
NEW BUSINESS CERTIFICATE OF OCCUPANC- YPERMIT
APPLICATION
32,
TAX MAP # BLDG. PERMIT FILE#
If app is e
Name of Business: 1 t.1,. I e
Address f
of Business: J 1 O I 1� p't GL QUESTIONS? CALL nsbur . OR
EMAIL codes(cilgueensburv.net
-�` VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: V Ct ,i1 e < �� / e �- INFORMATION
r r www.gueensbury.net
Business Phone Number: T, /;b " 7
Type of Business: n t
Owner of Property: ke (-O) Lzt-(L 6'— Phone Number(s): r c s �1 i q 44b" o
Home Cell
Owners
Address: 29 60n n e.t J�r`i J r.e�;���}u i N l� / S O'f
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: F� 21-4'-c ' Date:
Of person submitting this form
Notes / Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
EMERGENCY CONTACT UPDATE
Please print clearly
TO: WARREN COUNTY SHERIFF'S OFFICE. FAX: 743-2502
DATE:
BUSINESS NAME: CLr J t I tu
e
BUSINESS ADDRESS: 10 c L 1 r Iv t
BUSINESS PHONE: �1 S 0 q5 U
HOME
CONTACT 1: ( , �e 5 1 P �I c� PHONE5 % 3 71 J37 0
ADDRESS: L.rf LA a.5 ck rA-(or Ck s5 ,
HOME
CONTACT 2: ti_ rr, PHONE 6t i
ADDRESS: k 1- c.. i 1 lI s N V
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 - Fax: 518-745-4437
firemarshal@queensburi .net - u1y7u7.queensbuQL net
Fire Marshal Michael J Palmer Deputy Fire Marshal Gary Stillman
I
Inspection for Permit to Occupy
Fire Marshal's Office Request Rec'd Permit No. 1'666
Town of Queensbury
742 Bay Road
Queensbury,NY 12804 Scheduled inspection Date: 31 l(� Time: ��?✓d
Phone: (518) 761-8206 Business Name:
Fax: (518) 745-4437 Location: 310 y2x:�'�j R
Type of Inspection N/A Yes No
EXITS:
Exit Access
Exit Enclosure COMMENTS
Exit Discharge
AISLES:
Main Aisle Width f
.Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
EVAC signs in rooms
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System FDC ✓
Fire Suppression-kitchen
Fire Suppression-Gas Islan ✓
Generator
Hood Installation
Elevator
Interior Finishes
Storage
Compressed Gas ✓
Clearance to S inklers
Clearance to Electrical
Electric Wiring Enclosed/Labeled
Combustible Waste
Vehicle Impact Protection
Knox Box
F.D.Si na e-Utility Rooms
No Smoking Signs
Maximum Occupancy Sign
Emergency Evacuation Plan
/Approved (if no other approvals apply,the B&C Office will issue the Certificate of Occupancy)
❑ Denied / call for Recheck
Inspe ed B)r
L:\FireMarshal\FM Forms Masters\permitto occupytorm.doc